[Mar-2026] AAPC CPC DUMPS WITH REAL EXAM QUESTIONS
2026 New Pass4guide CPC PDF Recently Updated Questions
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NEW QUESTION # 124
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?
- A. U07.1, J20.9
- B. U07.1, J22
- C. J18.9, Z86.16
- D. J18.9, U09.9
Answer: C
Explanation:
The provider documents history of COVID-19, not active COVID-19.
Z86.16 = Personal history of COVID-19
J18.9 = Pneumonia, unspecified organism
Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here. Therefore, A is correct.
NEW QUESTION # 125
An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist who conducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?
- A. 92083, G43.019
- B. 92082, G43.019
- C. 92081, G43.009
- D. 92082, G43.009
Answer: D
Explanation:
Procedure: Visual field examination of both eyes using Goldmann perimeter testing with four isopters.
CPT Code:
92082: This code is for visual field examination with intermediate examination.
ICD-10-CM Code:
G43.009: Migraine without aura, not intractable, without status migrainosus.
Code Selection Justification: The visual field exam method and complexity align with 92082. The patient's diagnosis of non-intractable migraine without aura is coded as G43.009.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
NEW QUESTION # 126
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?
- A. 10021, 10004 x 2, 76942
- B. 10005, 10006 x 2, 76942
- C. 10005, 10006 x 2
- D. 10006 x 3
Answer: C
NEW QUESTION # 127
The gynecologist performs a colposcopy of the cervix including biopsy and endocervical curettage.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: A
Explanation:
Colposcopy of the Cervix: This involves a visual examination of the cervix using a colposcope.
Biopsy and Endocervical Curettage: The procedures performed include taking a biopsy and scraping the lining of the cervical canal.
CPT Code 57454: This code represents a colposcopy of the cervix with biopsy and endocervical curettage.
Reference:
AMA's CPT Professional Edition (current year)
NEW QUESTION # 128
Refer to the exhibit.
Refer to the supplemental information when answering this question:
View MR 623654
What CPTO coding is reported for this case?
- A. 14001, 11606-51, 12034-51
- B. 0
- C. 14001, 11606-51
- D. 1
Answer: B
NEW QUESTION # 129
This 27-year-old male has morbid obesity with a BMI of 45 due to a high calorie diet. He has decided to have an open Roux-en-Y gastric bypass. The patient is brought to the operating room and placed in supine position. A midline abdominal incision is made. The stomach is mobilized, and the proximal stomach is divided and stapled creating a small proximal pouch in continuity with the esophagus. A short limb of the proximal bowel of 155 cm is divided. It is brought up and anastomosed to the gastric pouch. The other end of the divided bowel is connected back into the distal small bowel to the short limb's gastric anastomosis to restore intestinal continuity. The abdominal incision is closed.
What are the procedure and diagnosis codes for this encounter?
- A. 43645, E66.8, Z68.42
- B. 43847, E66.01, Z68.42
- C. 43644, E66.01, Z68.43
- D. 43847, E66.9, Z68.42
Answer: B
NEW QUESTION # 130
A physician prescribes carbamazepine to treat a patient with epileptic seizures. After six months, the physician performs a therapeutic drug test to monitor the total level of the drug in the patient.
What CPT and ICD-10-CM coding is used for the six month-evaluation?
- A. 80156, R56.9
- B. 80157, G40.909
- C. 80157, R56.9
- D. 80156, G40.909
Answer: D
NEW QUESTION # 131
A patient with a history of chronic venous embolism in the inferior vena cava has a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the inferior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician.
What codes are reported for this procedure?
- A. 36010, 75827-26
- B. 36010, 75825-26
- C. 36000, 75827-26
- D. 36000, 75825-26
Answer: B
Explanation:
For the procedure involving access to the subclavian vein and advancing a catheter to the inferior vena cava for injection and imaging, the following codes are used:
36010 for the catheter placement.
75825-26 for the supervision and interpretation of the imaging.
Modifier -26 indicates the professional component of the radiological supervision and interpretation.
Reference:
AMA's CPT Professional Edition (current year)
ICD-10-CM (current year)
NEW QUESTION # 132
Where is a Warthin's tumor found?
- A. Salivary gland
- B. Back of eye
- C. Ovary
- D. Bone
Answer: A
NEW QUESTION # 133
A patient with three thyroid nodules is seen for an FNA biopsy. Using ultrasonic guidance, the provider inserts a 25-gauge needle into each nodule. Nodular tissue is aspirated and sent to pathology.
What CPT coding reported?
- A. 10021, 10004 x 2, 76942
- B. 10005, 10006 x 2, 76942
- C. 10005, 10006 x 2
- D. 10006 x 3
Answer: C
Explanation:
The CPT code 10005 is for fine needle aspiration biopsy, including ultrasound guidance, for the first lesion.
CPT code 10006 is for each additional lesion with ultrasound guidance. Since the provider aspirated tissue from three nodules, the coding should be 10005 for the first nodule and 10006 x 2 for the additional two nodules.
AMA's CPT Professional Edition (current year)
NEW QUESTION # 134
A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPT codes are reported?
- A. 47000, 10005
- B. 47000, 76942-26
- C. 47000, 77002-26
- D. 47100, 77012-26
Answer: B
Explanation:
* Procedure: The physician performed a liver biopsy using ultrasonic guidance.
* CPT Codes:
* 47000: This code is for the liver biopsy.
* 76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
* Code Selection Justification: The CPT code 47000 specifically captures the liver biopsy, and
76942-26 accurately represents the ultrasonic guidance utilized during the procedure.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 135
A patient undergoes coronary angiography for chest pain. Coronary arteries are normal, and CAD is ruled out.
What CPT and ICD-10-CM codes are reported?
- A. 93455, R07.9
- B. 93454, R07.9
- C. 93454, I25.10, R07.9
- D. 93455, I25.10, R07.9
Answer: B
Explanation:
93454 = Coronary angiography
R07.9 = Chest pain, unspecified
CAD code is not reported when ruled out
NEW QUESTION # 136
An otolaryngologist performs a tympanoplasty with mastoidectomy, reconstruction of the posterior ear canal wall, and ossicular chain reconstruction.
What CPT code is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
Explanation:
69642 = Tympanoplasty with mastoidectomy and ossicular chain reconstruction Other codes represent variations without ossicular reconstruction or canal wall work
NEW QUESTION # 137
(A patient is in her otolaryngologist's office to receive therapeutic treatment forasthmatic bronchitis with status asthmaticus. A subcutaneous injection ofomalizumab (150 mg)is given in her left upper arm. What is the CPT and ICD-10-CM coding?)
- A. 90471, J2357 × 30, J45.902
- B. 96369, J2357 × 30, J45.52
- C. 90460, J2357 × 30, J45.52
- D. 96372, J2357 × 30, J45.902
Answer: D
Explanation:
Omalizumab is a drug reported withHCPCS J2357, and the dose is converted into billable units based on the code's unit definition. In CPC-style questions,150 mgis commonly represented asJ2357 × 30 units(i.e., 5 mg per unit # 150/5 = 30). Administration is atherapeutic subcutaneous injection, reported with96372(therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular). Vaccine administration codes (90460
/90471) are not appropriate because omalizumab is not a vaccine. For diagnosis, the statement includesstatus asthmaticusbut does not specify severity category (mild/moderate/severe persistent). In the options provided, J45.902is the "unspecified asthma with status asthmaticus" concept, whereas J45.52 requires severe persistent asthma with status asthmaticus (not documented). Therefore, the correct pairing is96372 + J2357 × 30 + J45.
902. CPC exam tip: match administration code type (therapeutic injection vs immunization) and choose the most specific ICD-10-CM supported by documentation.
NEW QUESTION # 138
The mediastinum is:
- A. A part of the lymphatic system
- B. A small endocrine organ behind the heart
- C. Both the heart and lungs
- D. A location in the chest, bounded by the sternum, diaphragm, and lungs
Answer: D
Explanation:
The mediastinum is an anatomical region located in the thoracic cavity. It is bounded by the sternum in front, the vertebral column at the back, and is situated between the lungs. It contains the heart, trachea, esophagus, thymus, and other structures, but it is not itself an organ. Therefore, the correct answer is that it is a location in the chest.
ICD-10-CM, Medical Anatomy and Physiology textbooks
NEW QUESTION # 139
A 5-year-old patient has a fractured radius. The orthopedist provides moderate sedation and the reduction. The time is documented as 21 minutes.
What CPT code is reported for the moderate sedation?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: B
Explanation:
99152 - Moderate sedation, same physician, patient under 5 years, initial 15 minutes Time documented: 21 minutes First 15 minutes = 99152 Additional 15 minutes (99153) not reported separately in CPT exam context Why others are incorrect:
99151 - Minimal sedation
99155 / 99156 - Different age/provider scenarios
NEW QUESTION # 140
(Which place of service code is submitted on the claim for a procedure that is performed in a patient'sprivate residence?)
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
For professional claims,Place of Service (POS) 12is used to indicate services performed in the patient'shome
/private residence. This is a high-frequency reimbursement concept because POS impacts payer processing, fee schedules, and in some cases whether certain services are payable. POS codes like 41 and 42 are not used for a private home setting:41is typically associated withambulance-land, and42withambulance-air or water (transport settings rather than a location of patient residence). POS 65 refers to a specific facility-type setting (commonly associated withend-stage renal disease treatment facilities) and is not a home. On CPC-style questions, the key is recognizing that "private residence" equalshome-not assisted living, skilled nursing, or a facility. Correct POS reporting supports medical necessity review and correct payment and helps prevent denials, recoupments, and compliance risk. When documentation states the service occurred at the patient's residence, POS 12 is the standard selection.
NEW QUESTION # 141
Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved.
What CPT coding is reported?
- A. 0
- B. 63050-50
- C. 63040-50, 63043, 63043
- D. 63045, 63048
Answer: D
NEW QUESTION # 142
A 45-year-old female presents to the ED with chest pain. The provider has an Albumin Cobalt Binding Test to determine if the chest pain is ischemic in nature.
That lab test is reported?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
NEW QUESTION # 143
A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.
What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?
- A. 99211-25, G0010, 90740, B19.10, N18.6, Z99.2
- B. 90471, 90746, Z23, N18.6, Z99.2
- C. 90471, 90746, Z23, B19.10, N18.6, Z99.2
- D. G0010, 90740, Z23, N18.6, Z99.2
Answer: D
NEW QUESTION # 144
A patient with multiple atypical lesions on the face and trunk is in the office to perform a biopsy. A punch tool was used to obtain a full-thickness tissue sample for two lesions on the trunk.
Partial-thickness tissue sample was taken from one lesion on the forehead using a curette.
What CPTcoding is reported?
- A. 11104, 11103 x 2
- B. O11104, 11102 x 2
- C. 11104 x 2, 11102
- D. 11104, 11105, 11103
Answer: C
Explanation:
The CPTcodes for skin biopsies depend on the method used and the location of each lesion. Here, the scenario includes:
1. Two punch biopsies on the trunk: CPTcode 11104 is used for a full-thickness punch biopsy of the skin, and 11104 x 2 is appropriate since two lesions on the trunk were sampled.
2. One partial-thickness shave biopsy on the forehead: CPTcode 11102 is used for a tangential (shave) biopsy, which captures a partial-thickness sample, appropriate for the forehead lesion.
Explanation of other options:
B: 11104, 11105, 11103: Incorrect, as 11105 is an add-on for additional punch biopsies at separate sites but not used here.
C: 11104, 11103 x 2: 11103 is an add-on code for additional shave biopsies, which does not apply to the punch biopsies on the trunk.
D: 11104, 11102 x 2: Incorrect, as 11102 is only used for the shave biopsy, not for the punch biopsies.
NEW QUESTION # 145
A 55-year-old patient with suspected liver cancer was seen by the physician to obtain a biopsy. The special biopsy needle was placed using ultrasonic guidance. The physician obtained a small tissue sample from the liver, which was then sent to pathology.
What CPTcodes are reported?
- A. 47000, 10005
- B. 47000, 76942-26
- C. 47000, 77002-26
- D. 47100, 77012-26
Answer: B
Explanation:
* Procedure: The physician performed a liver biopsy using ultrasonic guidance.
* CPTCodes:
* 47000: This code is for the liver biopsy.
* 76942-26: This code is for ultrasonic guidance for needle placement, with modifier -26 indicating the professional component.
* Code Selection Justification: The CPTcode 47000 specifically captures the liver biopsy, and 76942-
26 accurately represents the ultrasonic guidance utilized during the procedure.
References:
* AMA CPTProfessional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)
NEW QUESTION # 146
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